Schengen Visa Application Form Page 2

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21. Main purpose(s) of the journey:
Tourism
Business
Visiting family or friends
Cultural
Sports
Official visit
Medical reasons
Study
Transit
Airport transit
Other (please specify)
22. Member State(s) of destination
23. Member State of first entry
24. Number of entries requested
25. Duration of the intended stay or transit
Single entry
Two entries
Multiple entries
Indicate number of days
26. Schengen visas issued during the past three years
No
Yes: date(s) of validity from …………………. to
27.Fingerprints collected previously for the purpose of applying for a Schengen visa
No
Yes.
Date, if known …………………………………………………………….
28. Entry permit for the final country of destination, where applicable
Issued by ………………………………..Valid from …………………………until……………………………………………….
29. Intended date of arrival in the Schengen area
30. Intended date of departure from the Schengen area
* 31. Surname and first name of the inviting person(s) in the Member State(s). If not applicable, name of hotel(s) or temporary
accommodation(s) in the Member State(s)
Address of inviting person(s)/hotel(s)/temporary accommodation(s)
Email address:
Telephone nr:
*32. Surname, first name, address, telephone, telefax, and e-mail address of contact person in company/organisation
*33. Cost of travelling and living during the applicant's stay is covered
by the applicant himself/herself
by a sponsor (host, company, organisation), please specify:
……
referred to in field 31 or 32
other (please specify)
Means of support
Means of support
Cash
Cash
Accommodation provided
Traveller's cheques
All expenses covered during the stay
Credit card
Pre-paid transport
Pre-paid accommodation
Other (please specify)
Pre-paid transport
Other (please specify)
34. Personal data of the family member who is an EU, EEA or CH citizen
First name(s)
Surname
Date of birth
Nationality
Number of travel document or ID card
35. Family relationship with an EU, EEA or CH citizen
spouse
child
grandchild
dependent ascendant
36. Place and date
37. Signature (for minors, signature of parental authority/legal guardian)
* The fields marked with * shall not be filled in by family members of EU, EEA or CH citizens (spouse, child or dependent ascendant) while
exercising their right to free movement. Family members of EU, EEA or CH citizens shall present documents to prove this relationship and
fill in fields no 34 and 35.

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